Paediatric anaesthesia
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Paediatric anaesthesia · Jan 2005
Clinical TrialPropofol total intravenous anesthesia for MRI in children.
The aim of this study was to assess clinical signs of airway patency, airway intervention requirements and adverse events in 100 children receiving propofol total intravenous anesthesia for magnetic resonance imaging, with spontaneous ventilation and oxygenation via nasal prongs. ⋯ This study demonstrates good preservation of upper airway patency and rapid recovery using general anesthetic doses of propofol in children.
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Paediatric anaesthesia · Jan 2005
Magnetic resonance imaging under sedation in newborns and infants: a study of 640 cases using sevoflurane.
The purpose of the present study was to show that sevoflurane is a safe and effective agent for the sedation of newborns and infants who are to undergo magnetic resonance imaging (MRI) examinations. ⋯ Sevoflurane is an ideal agent for this type of diagnostic procedure in newborns and infants. We discuss the need for elaborating specific protocols for pediatric sedation and emphasize the strict observation of recommendations, which include the practical experience and up-to-date specialized training of the anesthesiologist carrying out sedation procedures in children.
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Paediatric anaesthesia · Dec 2004
Case ReportsUnsuspected sublingual mass causing difficult intubation in an infant.
A case is described of a difficult intubation in an infant presenting for cleft palate closure, due to an unsuspected sublingual mass. The report stresses the fact that multiple anomalies can coexist in an infant and contribute to difficult intubation through different mechanisms. Various airway management strategies are explored.
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Paediatric anaesthesia · Dec 2004
Comparative Study Clinical TrialS-ketamine and s-norketamine plasma concentrations after nasal and i.v. administration in anesthetized children.
It has been suggested that nasal administration of s-ketamine may be used to improve sedation or premedication in combination with nasal midazolam in pediatric patients. In this study we measured and compared plasma concentrations of s-ketamine and its main metabolite s-norketamine after nasal and i.v. administration in preschool children. ⋯ Nasal administration of s-ketamine 2 mg x kg(-1) results in a wide spread of plasma concentrations and absorption times. Rapid and high level drug absorption after nasal drug administration is possible. The use of a pulse oximeter and continuous observation after nasal administration of s-ketamine for pediatric premedication is recommended.